Pro Sport Orthopedics, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

PRO SPORT ORTHOPEDICS, LLC

Practice address

5160 Borgen Blvd Ste 101
Gig Harbor, WA 98332-8809

Phone

(253) 853-4000

Fax

(253) 853-4001

NPI assigned

Jul 12, 2019

Last updated

Nov 13, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Sean Spaulding, DCNPI 1922247402

Title

Co-Owner, Chiropractor

Phone

(253) 853-4000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Ernest Chandler, DO

  • Sports Medicine (Internal Medicine) Physician
  • Silverdale, WA
  • NPI 1740676998
  Medicare reassignment Care Compare group NPD
• Nels Sampatacos, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Gig Harbor, WA
  • NPI 1265632988
  Medicare reassignment Care Compare group NPD
• Laura L Sciba, PA-C

  • Physician Assistant
  • Federal Way, WA
  • NPI 1659340677
  Medicare reassignment Care Compare group
• Sean Benjamin Spaulding, D.C.

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1922247402
  Authorized official Same address or phone
• Forrest R. E. Hartford, D.C.

  • Chiropractor
  • Gig Harbor, WA
  • NPI 1609015247
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1336791094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5160 BORGEN BLVD STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328809",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5160 BORGEN BLVD STE 101",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328809",
            "telephone_number": "253-853-4000",
            "fax_number": "253-853-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO SPORT ORTHOPEDICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-12",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "SPAULDING",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "CO-OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "253-853-4000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rheta Isabel Preston
• Justine Jordan Priess, D.D.S.
• Matthew Jeffrey Priess, DDS
• Prime Surgery Center PLLC (Prime Health Clinic)
• Pro Sport and Spine PLLC
• Pro Sport Physical Therapy, LLC
• Proliance Surgeons, Inc., P.S. (Proliance Puget Sound Orthopaedics)
• Nicholas Propp
• Janeen Provazek, MA
• Benjamin Pruden, DC

• Orthopaedic Surgery Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Orthopaedic Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.